EMMETT EVERETT BROOKS

TARZANA, CA
NPI1982160388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1329691118)
Enumeration Date2019-02-11
Last Update Date2019-02-11
Business Address
EMMETT EVERETT BROOKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
EMMETT EVERETT BROOKS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051